INSTRUCTIONS FOR SUBMITTING A FREIGHT CLAIM
All freight claims are processed in accordance with National Motor Freight Classifications (“NMFC”) Principles and
Practices for the Investigation and Disposition of Freight Claims found in NMFC Items 300100 through 300155.
All of the following documents must be submitted in support of the freight claim:
● Fully completed Standard Form for Presentation of Loss and Damaged Claim.
● Copy of the original freight bill and/or Bill of Lading.
● Copy of the original merchandise invoice, reflecting all trade or other discounts, allowances or
deductions of any nature. ● If product can be repaired, please include a copy of the repair invoice or estimate(s).
DETAILED LETTERED INSTRUCTIONS FOR PREPARATION OF STANDARD FORM
FOR PRESENTATION OF LOSS AND DAMAGED CLAIM
(A) Optional – This is a reference number issued by your company, for use in future correspondence.
(B) Indicate total amount claimed and whether the freight claim is for loss or damage.
(C) Name of company who issued the Bill of Lading (Shipper) and the city/state where shipment originated.
(D) Name of the company receiving the freight (Consignee) and the city and state where shipment was consigned.
(E) R+L CARRIERS Freight Bill number, located in the top left hand corner of R+L CARRIERS delivery
receipt or R+L CARRIERS pro sticker on Bill of Lading.
(F) Specific items of damage claimed, including freight charges, if applicable. (G) Total amount of freight claim.
(H) Date and signature of authorized person completing claim form.
(I) Complete company name and address. This is the name and address to which all correspondence
will be directed. If payment should be made to an entity, other than the company filing the freight
claim, please provide that information as well. If this section is not completed, the freight claim will
be returned to you for receipt of additional information.
* * ALL DAMAGED PRODUCT AND ITS PACKAGING
MUST BE KEPT UNTIL CLAIM IS SETTLED * *
Please mail all documents to:
R+L CARRIERS
Attn: Freight Claims Dept., P.O. Box 271, Wilmington, Ohio 45177-0271
Fax: (937) 283-8958
STANDARD FORM FOR PRESENTATION OF LOSS AND DAMAGE CLAIM
(Read instructions attached before filling in this form)
To: R+L CARRIERS
(Name of Carrier)
_________________________________________
(Date)
600 Gillam Road
(A)
(Street Address)
______________________________
Claimant’s Claim Number (optional)
Wilmington, OH 45177
_________________________________________
(City, State)
Claimant’s Phone Number
This claim for (B) $ _______________ is made against your company for (check one):  shortage
 visible damage  concealed damage
 loss  other (explain) ____________________
* Original invoice or certified copy required in order to process claim.
(D)___________________________________________
(C) _________________________________________
(Name of Shipper)
____________________________________________
(Point Shipped From)
_____________________________________________
(Name of Carrier Issuing Bill of Lading)
_____________________________________________
(Date of Bill of Lading)
(Consignee’s Name)
______________________________________________
(Final Destination)
______________________________________________
(Name of Delivering Carrier) _______________________________________________
(Date of Delivery)
(E)________________________________________________
(Delivering Carrier’s Freight Bill Number)
If shipment reconsigned en route, state particulars: ___________________________________________________________________
Detailed Statement Showing How amount claimed is determined
(Number and description of articles, nature, and extent of loss or damage, invoice price of articles, amount of claim, etc.
ALL Discounts and Allowances must be shown.)
(F)
CONDITION
(CIRCLE)
WEIGHT
(POUNDS)
NEW USED
NEW USED
NEW USED
NEW USED
NMFC Item No. of commodity lost or damaged
Total Amount of Claim
The following documents are submitted in support of this claim:
 Original Bill of Lading
 Original paid freight bill or other carrier document bearing notation
of loss or damage if not shown on freight bill.
 Carrier’s Inspection Report Form (concealed loss or damage).
(G)
$ _________
 Consignee concealed loss or damage form.
 Original invoice or certified copy required.
 Shipper’s concealed loss or damage form.  Other particulars obtainable in proof of loss or damage claimed.
(Note: The absence of any document called for in connection with this claim must be explained. When impossible for claimants to produce original bill of lading or paid freight bill, a bond of indemnity
must be given to protect carrier against duplicate claim supported by original documents.)
INDEMNITY AGREEMENT
In the absence of the Original Freight Bill and/or Original Bill of Lading, we agree to hold the above named carrier to whom this claim is presented and any other participating carrier harmless and
indemnified against any and all lawful claims which may be made against it or them arising out of the same shipment and will pay to the said carrier and any participating carrier(s) any losses,
damages, costs, counsel fees or any other expenses which they or any of them may suffer or pay by reason of payment of our claim, herein described, without the surrender of the Original
Freight Bill or Bill of Lading, as such was not provided and/or cannot be located. THE FOREGOING STATEMENT OF FACTS IS HEREBY CERTIFED AS CORRECT.
_________________________________________________
(Date)
(Company Name)
___________________________________________________
(H)______________________________________________
(Claimant’s Name & Signature)
(I)_________________________________________________
(Company Address)
____________________________________________________________________
(City, State and Zip Code)
Freight Claims Department Fax: (937) 283-8958
STANDARD FORM FOR LOSS AND DAMAGE
NOTICE TO CLAIMANTS
Claimants are requested to make use of this form for filing claims with R+L CARRIERS. Claims should be
filed directly with R+L CARRIERS, Attn: Freight Claims Dept., P.O. Box 271, Wilmington, Ohio 45177-0271,
and will be considered properly presented only when the information and documents called for on this form
and in the R+L CARRIERS INSTRUCTIONS FOR SUBMITTING FREIGHT CLAIM have, as far as possible,
been supplied.
Before presenting a claim on account of loss and damage, the following important information respecting
claims should be given careful consideration:
1. The terms under which property is accepted and transported by a carrier are stated on the Bill of Lading issued by the carrier; also in schedules, tariffs and classifications issued or subscribed to by the carrier.
Persons intending to file claims should, before doing so, examine the terms and conditions under which the
property was accepted and transported.
2. Carriers and their agents are bound by the provisions of law, and any deviation therefrom by the payment
and claims before the facts and measure of legal liability are established will render them, as well as the claimant, liable to fines and penalties by law.
3. In order that R+L CARRIERS may have an opportunity to inspect goods and thereby properly verify claims,
any loss or damage discovered after delivery should be reported to the agent of the delivery line, as soon
as possible, immediately upon delivery, or within 5 days after receipt of goods by consignee. concealed
loss and damage claims should be supported by an “inspection Report Form” covering the joint inspection
of the loss or damage by consignee and the R+L CARRIERS’ representative.
4. It is a common practice for manufacturers and others to ship large quantities to key points for warehousing
and later distribution to surrounding areas. In many instances, the original container is not opened and the
contents examined before re-shipment to final destination. When this practice is followed, it is impossible to
determine after delivery to final destination whether loss or damage of a concealed nature occurred before or
after re-shipping. Consignees can usually expedite settlement by securing initial shipper’s and warehouse’s
cooperation in supplying necessary billing reference so that shipment can be identified in handling with carriers rendering transportation to the distribution point.
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